Doctor Name: | DR. ALI HADADZ |
NPI Number: | 1316970866 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A69816 |
Business Practice Address: | 9808 Venice Blvd Suite 503 Culver City, CA - 902326804 |
Business Phone Number: | 3102045510 |
Business Fax Number: | 3102045518 |
Mailing Address: | 9808 Venice Blvd, Suite 503 CULVER CITY |
State: | CA |
Postal Code: | 902326804 |
Phone Number: | 3102045510 |
Fax Number: | 3102045518 |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A69816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |